Dental caries, traumatism, chronic periodontal lesions (gum infections) are some of the external factors that can lead to the degeneration of the dental pulp (nerves inside the tooth).

As a result, the pulp tissue inside the tooth can become necrotic or die. This gives rise to inflammation and infection which, if not treated, can lead to tooth loss and affect the surrounding bone area.

In many cases, pulpal necrosis is only detectable using radiography. We recommend periodic visits to the clinic for a panoramic radiograph session to rule out possible pathologies which were undetected during clinical exploration. If a necrotic pulp is detected, then a periapical radiograph is taken in order to determine the severity of the lesion.


Endodontics is the treatment of conserving the tooth and its function by eliminating the damaged pulp tissue which the body is incapable of repairing.

During this process disinfectants and mechanical instruments are used to remove the affected tissue.

Endodontics is used when there is a degenerative process of the dental pulp.

At CLINICA LLUCH we use the latest mechanical instruments Reciproc® and Protaper® to clean and disinfect the root canals.These instruments have micromotors and flexible files made of nickel titanium which allow us to complete the treatment without damaging the tooth.

We use an electronic apex locator (EAL) to find out the length of the root canal (or root canals) which need treatment. In less complicated cases, we use ultrasonic instrumentation and imaging devices.

Once cleaned and disinfected, we seal the root canal (or root canals) thereby leaving the inside of the tooth completely sterile. During the whole process, the tooth is isolated from the rest of the mouth using a rubber dam.

Depending on how much of the tooth structure is left following endodontic treatment, an intraradicular post (generally made of carbon fibre) may be used to prevent fracturing. In some cases, ceramic crowns or inlays are needed to prevent fracturing of the remaining enamel.

Dr. Marc Rovira | Endodontics and Dental Aesthetics Specialist

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